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CASE TAKING
• Aphorism
• 83 - 104
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Aphorism 83
• This individualizing examination of a
case of disease, for which I shall only
give in this place general directions, of
which the practitioner will bear in mind
only what is applicable for each individual
case, demands of the physician nothing
but freedom from prejudice and sound
senses, attention in observing and fidelity
in tracing the picture of the disease.
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Aphorism 84/ FN
• Every interruption breaks the train of
thought of the narrators, and all they
would have said at first does not again
occur to them in precisely the same
manner after that .
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Aphorism 85
• He begins a fresh line with every new
circumstance mentioned by the patient or
his friends, so that the symptoms shall be
all ranged separately one below the other.
He can thus add to any one, that may at
first have been related in too vague a
manner, but subsequently more explicitly
explained.
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Aphorism 86
• When the narrators have finished what they would say of their own
accord, the physician then reverts to each particular symptom and
elicits more precise information respecting it in the following manner;
he reads over the symptoms as they were related to him one by
one, and about each of them he inquires for further particulars, e.g. ,
at what period did this symptom occur? Was it previous to taking the
medicine he had hitherto been using? Whilst taking the medicine?
Or only some days after leaving off the medicine? What kind of pain,
what sensation exactly, was it that occurred on this spot? Where
was the precise spot? Did the pain occur in fits and by itself, at
various times? Or was it continued, without intermission? How long
did it last? At what time of the day or night, and in what position of
the body was it worst, or ceased entirely? What was the exact
nature of this or that event or circumstance mentioned - described in
plain words?
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Presenting compliant
• Jebin 10m/c
• RECTUM - URGING - fright, from (1)
Caust
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Achachen
• MIND - ATTACHED - father; children are
attached to the (1)
• cycl
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concrete
• RECTUM - CONSTIPATION - ineffectual
urging and straining - plugged up; as if (1)
• anac
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Barotruma
• EAR - INFLAMMATION - airplane; from
changes of atmospheric pressure in an(1)
• arn
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mastitis
• MIND - AILMENTS FROM – celibacy (13)
PHOS, Cann.i,con
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payal
• STOOL - MOSS; like (1)
• asc-t.(asclepias tuberosa)
• STOOL - GREEN - grass; like cut (1)
CHAM
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Sambar
• GENERALS - FOOD and DRINKS - flatulent
food - agg. (17)
• LYC,PETR
• GENERALS - FOOD and DRINKS - peas -
agg.(19)
• BRY, LYC
• GENERALS - FOOD POISONING 15
• Ars
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Shhhh……..
• STOMACH - ERUCTATIONS - pressing -
painful parts; when pressing on(1)
• Borx
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Dileep
• BACK - ABSCESS - Cervical region -
cicatrices; old (1)
• SIL
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• FACE - SWELLING - Eyes – under (27)
• APIS,ARS,KALI-C
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• FACE - EXPRESSION – suffering (56)
• ARS,CACT,KALIC,LYSS,MANG,SIL,SUL
PH
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Past History
• Pneumonia
• GENERALS - CONVALESCENCE;
ailments during - lungs; after inflammation
of the - never well since – (1)
• Kali.c
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Abdul Samad
• STOMACH - HICCOUGH – continued
• (1) vert.v
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Hair falling
• HEAD - HAIR - falling - disease - acute
exhausting disease; following – (3)
• Carb-v,manc,thal
• GENERALS - CONVALESCENCE;
ailments during - fever; after – (1)
• lyc
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cortisone
• GENERALS - CONVALESCENCE;
ailments during - cortisone; after use of –2
• Caust,thuj
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Antibiotics
• GENERALS - CONVALESCENCE;
ailments during - antibiotics; after use of –
(3)
• ars,nit-ac,thuj
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Family History
• Alc
• GENERALS - FAMILY HISTORY of –
alcoholism (13) Syph
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Family History
• H/d
• GENERALS - FAMILY HISTORY of -
heart disease; early (1)
• Med
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Family History
• asth
• GENERALS - FAMILY HISTORY of –
asthma (6)
• carc,lyc,med,nat-s,psor,tub
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Family History
• Dm
• GENERALS - FAMILY HISTORY of -
diabetes mellitus (3)
• carc,thuj
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Family History
• Goi
• GENERALS - FAMILY HISTORY of –
goiter (2)
• dros,tub
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Family History
• Ins
• GENERALS - FAMILY HISTORY of –
insanity (2) carc,syph
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Family History
• Suic
• GENERALS - FAMILY HISTORY of -
suicidal deaths (2)
• carc,syph
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Family History
• Num
• GENERALS - FAMILY HISTORY of -
numerous serious diseases; of (1)
• bufo
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ANOOP 5M
• MIND - ANTICS; playing
• EYE – DISCOLORATION-yellow
• STOMACH - APPETITE - wanting
• ABDOMEN - INFLAMMATION – Liver
• ABDOMEN - PAIN - Hypochondria - right
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• MIND - SLANDER, disposition to (21)
• VERAT
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[Link]
• MOUTH – SPEECH convincing
• MOUTH – SPEECH enthusiastic
• MOUTH – SPEECH interesting
• MOUTH – SPEECH loud
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chanthupottu
• MIND – EFFEMINATE (5) PULS,Plat
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Chemistry
• MIND - MANNISH - girls; mannish looking
(7) Nat.m
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Sugathakumari
• MIND - INJUSTICE, cannot support (8)
• Caust,Staph
• MIND – PROTESTING (6)
• Caust,Symph
• MIND – ANARCHIST- (5)
Arg.n.,Caust,Merc
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Jaen Tomlinson 43F
• MIND - OPTIMISTIC - weakness; in spite
of the (2)
• kali-c,Galin (galinsga parviflora)
• MIND - HOPEFUL - recovery, of (1)
• sang
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BARRETTS OESOPHAGUS
• Caused by [Link] discomfort is due to
acdic juice from the stomach flowing back
up in to oesophagus which cause
inflammation & burning pain.
• Chronic GER leads to Barrettsoesophagus
in which part of oesophagus lyning
replaced by stomach [Link] with
Barretts oesophagus are at increased risk
of developing Ca Oesophagus
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BARRETT’S OESOPHAGUS 11
• MIND - ANXIETY - others, for
• MIND - FASTIDIOUS
• MIND - FEAR - dark, of
• MIND - SYMPATHETIC
• HEAD - PAIN - menses - after
• STOMACH - PAIN - violent
• DREAMS - PROPHETIC
• GENERALS - FOOD and DRINKS - sweets - desire
• GENERALS - HEAT - lack of vital heat
• GENERALS - PERIODICITY - week - four weeks; every
• GENERALS - WEAKNESS - pain; from
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tnp
• MIND - ACCIDENT prone (11) ARN,
MED,STAPH (Heedless )
• MIND – HEEDLESS (82)
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[Link] tas ind
• MIND - COQUETTISH - too much (8)
lach,lyc,nux-v,puls
• MIND - TASTELESSNESS in dressing
(11)Calc,Nat.m,Sulph
• MIND - DRESS - indecently,
dresses(6)hell,hyos,plat
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viswanathan
• MIND - FEAR - falling, of
• MIND - AILMENTS FROM - anticipation
• MIND - FEAR - high places, of
• MIND - CONFIDENCE - want of self-confidence
• MIND - DWELLS - past disagreeable
occurrences, on
• MIND - HURRY, haste
• GENERALS - FOOD and DRINKS - sweets -
desire
• EXTREMITIES - UNCOVER, inclination to - Feet
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TSUNAMI
• MIND - REVERENCE for those around
him (12) Hyos
• sir
• MIND – VENERATION (15) Podo
• MIND - REVERENCE
• MIND – RESPECTING REVERENCE
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HASSAN
• MIND - HARD for inferiors and kind for
superiors (4) lach,lyc,plat,verat
• MIND - AFFECTATION - words; in (3)
lyc,plat,verat
• MIND - AFFECTATION - gestures and
acts; in (3) hyos,mez,verat
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Priyan colic
• GENERALS - PERIODICITY - hour -
same hour; complaints return at the
• (23)CEDR
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ARATHI GOPI 17F
• MIND - ABRUPT, rough
• MIND - AVERSION - persons - certain, to
• MIND - HURRY, haste
• MIND – TALKING-loud indisposed to talk
• HEAD – LARGE SIZE
• FEMALE GENITALIA/SEX - MENSES - irregular
• GENERALS - FOOD and DRINKS - sweets -
desire
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Mithabhashi
• MIND – LACONIC (3) chin,merc,[Link]
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Jerins pocket
• MIND - FILLS pockets with anything (1)
stram
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Nannayi varumpol
• GENERALS - WELL - unusually well, then
agg. (8)PSOR
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A case of vitiligo
• MIND – GOURMAND (8)VERAT
• MIND – GLUTTONY
• MIND – BULIMIA (66)
CALC,CHIN,CINA,LYC,MERC,SEP,VERA
T
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GEORGE KUTTY 52M
HBsAg
• MIND - ADULTEROUS
• MIND - HURRY, haste
• STOMACH - APPETITE – increased - eating –
after
• ABDOMEN - INFLAMMATION - Liver – chronic
• ABDOMEN - PAIN - Hypochondria - right
• GENERALS - TOBACCO - desire for tobacco
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jij
• MIND – CURIOUS(19)
agar,aur,hyos,lach,puls,sep72
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nas
• MIND - DESTRUCTIVENESS - children;
in
• Carc
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but
• MIND - PLAYING - desire to play - buttons
of his clothes, with the (1)mosch
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thoduka
• MIND - TOUCHING everything; impelled
to - children, in (2) Cina, carc
• MIND - TOUCHING everything; impelled
to (10) Merc, Thuj
• MIND - TOUCHED - aversion to be -
children; in (5) ant.c,ant.t,cina,cham,cupr
• MIND - LOOKED AT; to be - cannot bear
to be looked at –
• children;in(4)ant.c,ant.t,cham,cina
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peruppickal
• MIND - EXAGGERATING - symptoms; her
(7) agar,calc,cann-i, plat
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Mariamma 70F
• MIND - AFFECTATION
• MIND - BOASTER, braggart
• MIND - CURSING
• MIND - EXAGGERATING
• MIND - EXAGGERATING - symptoms; her
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MARIAMMA 70F
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nail
• MIND - BITING - nails - children; in (2)
ant.c,carc
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K k,
• MIND - AILMENTS FROM - position; loss
of (10) Ign,Nux-v,Plat
• MIND - AILMENTS FROM - job; having
lost his (3) ign, plat,staph
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tpp
• MIND – INDISCRETION (40) PULS
(CIRCUMSPECTION, lack of )
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urachu
• MIND - UNDERTAKING - many things,
persevering in nothing (34)LIL-T
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lock
• MIND - CHECKING - twice or more; must
check (11)arg-n,ars,brom,nat-m,syph
• ( Verifying everything )
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bush
• MIND - FROWN, disposed to (14) NUX-
V,CHAM
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patham
• MIND – COMPLAINING (88) CALC-P,
CHAM
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pepsodent
• MIND - FEIGNING - sick; to be (16)
Puls,Taret
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rabit
• MIND – PERTINACITY (11) stram,symph
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• MIND - AFFABILITY - enemy; to an (1)
aloc (alcoholus)
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• MIND – AUDACITY (21)Arn,Puls,Tub,IGN
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• MIND – MALICIOUS (98) ANAC
• MIND – BRUTALITY,
• MIND – CRUELTY,
• MIND - HARDHEARTED, inexorable
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Pm mathew
• MIND - AILMENTS FROM - domination -
children; in - parental control; long history
of excessive (3) Aur-m-n(aurum
muriaticum natronatum)carc,vanad
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• MIND - SPOILED children – am-c,bar-
c,lyc,op,sulph
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swasam
• MIND - UNCONSCIOUSNESS - cries,
with howling (1) camph
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[Link]
• SKIN - INDENTED easily from pressure
(5) BOV, BRY
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Toilet smoking
• RECTUM - URGING - smoking, while (2)
calad,thuj
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Chalk allergy
• NOSE - SNEEZING - chalk, from (1) Nat.p
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Entaeveedu appu
• MIND - JEALOUSY - children - newborn
gets all the attention; when the - Hys,
ign
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Kochuvayil valiya
• MIND - PRECOCITY of children –
LACH,MED,VERAT
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• SKIN - ERUPTIONS - psoriasis - children;
in – STAPH
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UMA
• MIND - CONFIDENCE - want of self-confidence
• MIND - GRIEF - silent
• MIND - OFFENDED, easily
• MIND - REPROACHES - himself
• FEMALE GENITALIA/SEX - MENSES - irregular
• FEMALE GENITALIA/SEX - STERILITY
• DREAMS - DEATH - relatives, of
• GENERALS - FOOD and DRINKS - meat - desire
• GENERALS - FOOD and DRINKS - salt - desire
• GENERALS - FOOD and DRINKS - spices - desire
• GENERALS - HEAT - sensation of
• GENERALS - OBESITY
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UMA
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RETHNAMMA 35F
• EYE -DISCOLOURATION YELLOW
• ABDOMEN - INFLAMMATION LIVER
• ABDOMEN - PAIN - Hypochondria - sitting
• URINE - COLOR - yellow
• CHEST – HEAT
• CHEST - PALPITATION of heart - anxiety,
with
• GENERALS - HEAT - lack of vital heat
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RETHNAMMA 35F
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JALAJA SOMAN 38F
MVP,MR
• MIND - AILMENTS FROM - money; from losing
• MIND - ANXIETY - anticipation; from - engagement; an
• MIND - CONSOLATION - amel.
• MIND - OFFENDED, easily
• CHEST - HEART complaints of the-mitral regurgitation
• CHEST - HEART complaints of the-valves mitral valve
• CHEST - PALPITATION of heart - anxiety, with
• CHEST - PALPITATION of heart - exertion
• CHEST - PALPITATION of heart - fright, after
• CHEST - PALPITATION of heart - lying
• CHEST - PALPITATION of heart - lying - back; on - amel.
• CHEST - PALPITATION of heart - noise, from every strange
• GENERALS – EMACIATION
• GENERALS - FOOD and DRINKS - salt - desire
• GENERALS - HEAT - sensation of
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KENTS12 OBSERVATIONS
• 1.A prolonged aggravation and final decline of the patient.
• In incurable and doubtful cases give no higher than the 30th or 200th
potency, and observe whether the aggravation is going to be deep or too
prolonged
• [Link] aggravation, but final and slow improvement.
• 3. Aggravation is quick, short and strong with rapid improvement of the
patient.
• 4. No aggravation, with recovery of the patient.
• 5. The amelioration comes first and the aggravation comes afterwards.
• [Link] short relief of symptoms.
• [Link] time amelioration of the symptoms, yet no special relief of the patient
• 8. Some patients prove every remedy they get.
• 9 Action of the medicines upon provers.
• [Link] symptoms appearing after the remedy.
• [Link] symptoms are observed to reappear.
• [Link] take the wrong direction.
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